LUCAS JACOB WAGONER
NPI 1679244263
Specialist/Technologist - Athletic Trainer in Columbia, SC
NPI Status: Active since September 23, 2021
Contact Information
1300 WHEAT STREET
COLUMBIA, SC
ZIP 29208
Phone: (704) 743-6122
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About LUCAS WAGONER
This page provides the complete NPI Profile along with additional information for Lucas Wagoner, a provider established in Columbia, South Carolina with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1679244263 assigned on September 2021. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1679244263
- Provider Name
- LUCAS JACOB WAGONER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1300 WHEAT STREET COLUMBIA, SC 29208
- Location Phone
- (704) 743-6122
- Mailing Address
- 3932 RIMER RD CONCORD, NC 28025
- Mailing Phone
- (704) 743-6122
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-23-2021
- Last Update Date
- 05-20-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 2 | 4 | 4 | 2 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 4 | 4 | 8 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 4 + 4 + 8 + 2 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1679244263 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
JENNIFER ANN BEACH SCAT, ATC
Specialist/Technologist
(Athletic Trainer)
1300 WHEAT STREET
COLUMBIA, SC
ZIP 29208
MR. SAMUEL ANGELES I
Student in an Organized Health Care Education/Training Program
1300 WHEAT STREET
COLUMBIA, SC
ZIP 29208
DIANDREA MALONE
Student in an Organized Health Care Education/Training Program
1300 WHEAT STREET
COLUMBIA, SC
ZIP 29208
SUJAL RAKESH PATEL SCAT, ATC
Specialist/Technologist
(Athletic Trainer)
1300 WHEAT STREET
COLUMBIA, SC
ZIP 29208
MR. BRAULIO ALEJANDRO FLORES ATC
Specialist/Technologist
(Athletic Trainer)
1300 WHEAT STREET
COLUMBIA, SC
ZIP 29208
CHRIS THOMPSON JR.
Student in an Organized Health Care Education/Training Program
1300 WHEAT STREET
COLUMBIA, SC
ZIP 29208
TAYLOR MALINOVSKY
Student in an Organized Health Care Education/Training Program
1300 WHEAT STREET
COLUMBIA, SC
ZIP 29208
JARED LANE SANFORD
Student in an Organized Health Care Education/Training Program
1300 WHEAT STREET
COLUMBIA, SC
ZIP 29208
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679244263, enumerated as an "individual" on September 23, 2021.
The provider is located at 1300 WHEAT STREET COLUMBIA, SC 29208 and the phone number is (704) 743-6122.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.
